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Prevention and Control of Vaccine Preventable Disease in Myanmar

Prevention and Control of Vaccine Preventable Disease in Myanmar. Expanded Programme on Immunization Central Epidemiology Unit Department of Health Ministry of Health Phone: 95-67-420437, 95-67-421205. The Republic of the Union of Myanmar.

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Prevention and Control of Vaccine Preventable Disease in Myanmar

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  1. Prevention and Control of Vaccine Preventable Disease in Myanmar Expanded Programme on Immunization Central Epidemiology Unit Department of Health Ministry of Health Phone: 95-67-420437, 95-67-421205

  2. The Republic of the Union of Myanmar • The major ethnic groups are Kachin, Kayah, Kayin, Chin, Mon, Bamar, Rakhine, Shan

  3. Administratively in 2011 The country is divided into • (14) States and Regions • 67 districts • 330 townships • 64 sub-townships • 2891 wards • 13698 village tracts • 64817 villages

  4. Health Care System in Myanmar Republic of the Union of Myanmar CABINET National Health Committee Ministry of Health Department of Health Planning NHP M & E Committee Department of Health Department of Medical Sciences Department of Medical Research (Lower) Department of Medical Research (Upper) Department of Medical Research (Central) Department of Traditional Medicine State/Region Government body • 1. Ministries • 2. Myanmar Women's Affairs Federation • Maternal & Child Welfare Association • Red Cross Society • 6. Medical Association • 7. Dental Association • 8. Nurses Association • 9. Health Assistant Association • 10. Traditional Medicine Practitioners Association • 11. Religious Organization • 12. Parent-Teacher Association (17) State/Region Health Dept. State/Region Health Committee District Government body District Health Committee (67)District Health Dept. (330) Township Health Dept. Township Government body Township Health Committee StationHospital Ward/Village Government body Ward/VillageTract Health Committee 1558 RHC/ SC Village Volunteers

  5. Organogram of Disease Control Unit, Department of Health Directors (States/ Regions Health Departments) Deputy Directors (Epidemiology) Regional Epidemiologists TMO (Township Medical Officer) AD (Port Health) ADs (EPI) (EPI Manager) AD (CEU) (VPD/AEFI Surveillance) AD (Plague) SDCU Team Leaders BHS from RHC/ SC

  6. Population Vs Reporting Units (as of 2012) Total land area- 676,578 sq km 86 per sq km (16 - 688 per sq km) Source- State/Regional Health Departments

  7. Integrated Weekly Reporting of AFP, NNT, Measles and ILI NHL

  8. 9 14 17 WHO support RSO Network 2004-2009 2010 2012 NSC Office 17 RSOs Office (2004-2009) 9 RSOs Office (2010) 14RSOs Office (2012)

  9. National immunization coverage, 1980-2011

  10. DTP3 coverage and Diphtheria and Pertussis cases, 1980-2011

  11. Measles1 coverage and measles cases, 1980-2011

  12. TT2+ coverage1 and NT cases2, 1980-2011

  13. AFP surveillance performance indicators, 2002-2011

  14. Recent History of Polio Cases in Myanmar 2007,2010,2012 P1 WPV cases Rakhine = 11 Onset of last case = 31-5-2007 P1 VDPV cases Yangon = 1 Kayin = 1 Bago (East) = 1 Mon = 1 Onset of last case = 06-12-2007 2007 2010 2012 P2 VDPV case Mandalay Date of Onset = 06-12-2010 P1 VDPV case Northern Shan State Laukkaing Township Date of onset = 29-5-2012 14 Source: CEU, DOH, Ministry of Health

  15. Reported cases of vaccine preventable diseases, 2002-2011

  16. VPD Surveillance Data, 2012 Myanmar-Thailand Bordering Area Measles Diphtheria NNT AFP 1 Dot = 1 case

  17. Routine EPI Coverage 2011 < 60% 60% - 79% 80% or above No data DPT3 OPV3 HepB3 BCG

  18. Routine EPI Coverage in bordering Townships 2011 < 60% 60% - 79% 80% or above No data BCG DPT3 OPV3 HepB3

  19. Routine EPI Coverage 2011 < 60% 60% - 79% 80% or above No data Measles 1 Measles 2

  20. Routine EPI Coverage in bordering Townships 2011 < 60% 60% - 79% 80% or above No data Measles 1 Measles 2

  21. Routine EPI Coverage 2011 < 60% 60% - 79% 80% or above No data TT 2 TT 1

  22. Routine EPI Coverage in bordering Townships 2011 < 60% 60% - 79% 80% or above No data TT 1 TT 2

  23. Myanmar-Thailand Border Gate Border Townships Shan East State 1. Tachileik 2. Mongsat 3. Mongton 4. Mongpan Kayah State 5. Shadaw 6. Mae-Sei Kayin State 7. Hpar-Pon 8. Hlaingbwe 9. Myawaddy 10. Kyar-Inn Seik Kyi Mon State 11. Ye Tanintharyi Division 12. Yebyu 13. Dawei 14. Tanintharyi 15. Bokepyin 16. Kaw Thaung Tachileik Myawaddy Kawthaung

  24. THANK YOU

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